System and method of controlling power delivery to a surgical instrument

• US 8,617,151 B2
• Filed: 12/06/2012
• Issued: 12/31/2013
• Est. Priority Date: 04/17/2009
• Status: Active Grant

• Current Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Original Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Inventors: Denis, Scott, Manwaring, Preston, Eggers, Phil, Manwaring, Kim
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): DELLA, JAYMI E
• Application Number:
  US13/706,481
• Publication Number:
  US 20130158535A1
• Time in Patent Office: 390 Days
• Field of Search: 606/47, 606/113, 606/27, 606/28, 607/103, 607/96
• US Class Current: 606/31
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/0072 Current
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/141 Snare
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61M 25/00 Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00

Abstract

A thermal surgical instrument having a system to control the delivery of power from an energy source to active element located on a tip. The system for controlling delivery to the tip may include a control algorithm which uses one or more measurements, such as tip current, SWR, and rapid changes in reflected power, to manage power without affecting cutting efficacy, and in a manner that may be imperceptible by a surgeon. The system may utilize a state machine to determine the current environment in which the tip may be in. Power delivered to the tip may be selectively managed according to a fixed power index or a repeatedly executed power profile.

Claims

1. A surgical instrument comprising:

a body;

a thermal element disposed on the body and configured to receive oscillating electrical energy, the thermal element comprising a conductor having a ferromagnetic material covering at least a portion of the conductor, and wherein the ferromagnetic material, when heated, is movable between air and liquid without causing fracturing of the ferromagnetic material; and

an information storage device for storing information relative to a configuration parameter of the thermal element.

2. The surgical instrument of claim 1 wherein the ferromagnetic material has a thickness and wherein a cross-sectional diameter of the conductor is more than 30 times the thickness of the ferromagnetic material.

3. The surgical instrument of claim 1, wherein the information storage device is disposed in communication with a power supply configured to deliver the oscillating electrical energy to the thermal element such that information relative to the configuration parameter of the thermal element may be accessed and used to control delivery of the oscillating electrical energy to the thermal element.

4. The surgical instrument of claim 3, wherein the information storage device is an electrically erasable programmable read-only memory (EEPROM).

5. The surgical instrument of claim 3, wherein the thermal element is coupled to the power supply, and wherein the power supply is configured to deliver the oscillating electrical energy to the thermal element according to the configuration parameter stored in the information storage device.

6. The surgical instrument of claim 1, wherein the body is a handpiece.

7. The surgical instrument of claim 6, wherein the handpiece is configured to removably receive the thermal element.

8. The surgical instrument of claim 1, wherein the body is a cutting and sealing instrument having the thermal element disposed thereon.

9. The surgical instrument of claim 1, wherein the ferromagnetic material comprises a solid ferromagnetic heating element.

10. The surgical instrument of claim 1, wherein the conductor is an insulated conductor.

11. The thermal surgical instrument of claim 1, further comprising at least one intervening layer disposed between the conductor and the ferromagnetic material.

12. The thermal surgical instrument of claim 1 further comprising at least one exterior layer disposed over the ferromagnetic material.

13. The thermal surgical instrument of claim 1, wherein the ferromagnetic material is selected from the group consisting of NIRON™

, PERMALLOY™

, Co and CrO₂.

14. A surgical instrument system comprising:

a body; and

a thermal element disposed on the body and configured to receive oscillating electrical energy and to heat in response to receipt of the oscillating electrical energy, the thermal element having an impedance which changes in response to a change in a temperature of the thermal element, the thermal element comprising a conductor having a ferromagnetic material covering at least a portion of the conductor, and wherein the ferromagnetic material, when heated, is movable between air and liquid without causing fracturing of the ferromagnetic material; and

circuitry disposed in communication with the thermal element configured to sense a change in the impedance of the thermal element and to generate a signal to adjust the oscillating electrical energy received by the thermal element.

15. The surgical instrument of claim 14, further comprising a microcontroller for receiving the signal from the circuitry on a substantially continuous basis.

16. The surgical instrument of claim 15, further comprising a power control system having a power control algorithm configured to consistently provide a desired power to the thermal element in response to the signal.

17. The surgical instrument of claim 16, wherein the thermal element has a Curie temperature, and wherein the power control system is configured to use the power control algorithm to prevent the thermal element of the surgical instrument from exceeding its Curie temperature.

18. The surgical instrument of claim 16, wherein the power control system is configured to use the power control algorithm to prevent overheating of the surgical instrument at locations along the body other than the thermal element.

19. The surgical instrument of claim 16, wherein the power control system is configured to use the power control algorithm to control heating of the thermal element to a substantially specific temperature within a range of about plus or minus 30 degrees Centigrade.

20. The surgical instrument of claim 14, further comprising at least one intervening layer disposed between the conductor and the ferromagnetic material.

21. The surgical instrument of claim 14, further comprising at least one exterior layer disposed over the ferromagnetic material.

22. The surgical instrument of claim 14, wherein the ferromagnetic material has a thickness and wherein the conductor has a cross-sectional diameter more than 30 times as thick as the thickness of the ferromagnetic material.

23. The thermal surgical instrument of claim 14, wherein the ferromagnetic material is selected from the group consisting of NIRON™

, PERMALLOY™

, Co and CrO₂.

24. A thermal surgical instrument system comprising:

a body;

a thermal element attachable to the body and configured to receive oscillating electrical energy, the thermal element comprising a conductor having a cross-sectional diameter and a layer of ferromagnetic material which has a thickness which is less than the cross-sectional diameter of the conductor and wherein the layer of ferromagnetic material, when heated, is movable between air and liquid without causing fracturing of the layer of ferromagnetic material;

an information storage device for storing information relative to a configuration parameter of the thermal element; and

sensing circuitry disposed in communication with the thermal element for sensing a behavior characteristic of the thermal element; and

a power control system for making adjustments to the oscillating electrical energy received by the thermal element;

wherein the power control system is configured to use information relative to the configuration parameter of the thermal element and the sensed behavior characteristic of the thermal element to regulate a temperature of the thermal element.

25. The thermal surgical instrument system of claim 24, wherein the power control system comprises a control loop feedback mechanism.

26. The thermal surgical instrument system of claim 25, wherein the control loop feedback mechanism is a proportional-integral-derivative (PID) controller.

27. The thermal surgical instrument system of claim 25, wherein the control loop feedback mechanism is cascaded proportional-integral-derivative (PID) controllers.

28. The thermal surgical instrument of claim 24, wherein the power control system contains software programmed to implement a variable stage state machine to regulate the temperature of the thermal element.

29. The thermal surgical instrument of claim 24, further comprising at least one intervening layer disposed between the conductor and the layer of ferromagnetic material.

30. The thermal surgical instrument of claim 24, further comprising at least one exterior layer disposed over the layer of ferromagnetic material.

31. The thermal surgical instrument of claim 24, wherein the layer of ferromagnetic material has a thickness and wherein the conductor has a cross-sectional diameter more than 30 times greater than the thickness of the layer of ferromagnetic material.

32. A thermal surgical instrument system comprising:

a body; and

a thermal element disposed on the body and configured to receive oscillating electrical energy and to heat in response to receipt of oscillating electrical energy, the thermal element including a conductor having exposed portions and a portion covered with a ferromagnetic material between the exposed portions, the thermal element further having an impedance which changes in response to a change in a temperature of the thermal element and wherein the ferromagnetic material comprises coating disposed on the conductor which is thinner than a cross-sectional diameter of the conductor and wherein the ferromagnetic material will not fracture when heated and moved between air and submersion in a liquid; and

circuitry disposed in communication with the thermal element configured to sense a change in the impedance of the thermal element and to generate a signal to adjust the oscillating electrical energy received by the thermal element.

33. The thermal surgical instrument of claim 32, further comprising a microcontroller for receiving the signal from the circuitry on a substantially continuous basis.

34. The thermal surgical instrument of claim 33, further comprising a power control system having a power control algorithm configured to consistently provide a desired power to the thermal element in response to the signal.

35. The thermal surgical instrument of claim 34, wherein the thermal element has a Curie temperature, and wherein the power control system is configured to use the power control algorithm to prevent the thermal element of the thermal surgical instrument from exceeding its Curie temperature.

36. The thermal surgical instrument of claim 32, wherein the thermal element forms a loop, and wherein the ferromagnetic material covers a portion of the loop.

37. The thermal surgical instrument of claim 32, further comprising at least one intervening layer disposed between the conductor and the ferromagnetic material.

38. The thermal surgical instrument of claim 32, further comprising at least one exterior layer disposed over the ferromagnetic material.

39. The thermal surgical instrument of claim 32, wherein the ferromagnetic material has a thickness and wherein the conductor has a cross-sectional diameter more than 30 times as thick as the thickness of the ferromagnetic material.